The efficacy mechanism of acupuncture and moxibustion in post-stroke hemiplegia based on "qi circle in round"

CHEN Tianzhu; ZOU Yihuai; ZHANG Yong; REN Yi; CHEN Tianyan; WU Kang; CHEN Chen; SHI Xinyue; ZHANG Muzhao; XU Tianjiao; MA Renzhao; XU Mengfang

doi:10.3969/j.issn.1006-2157.2023.11.018

您当前的位置：

首页 >

文章列表页 >

The efficacy mechanism of acupuncture and moxibustion in post-stroke hemiplegia based on "qi circle in round"

Acupuncture Moxibustion and Tuina | 更新时间：2023-12-08

- The efficacy mechanism of acupuncture and moxibustion in post-stroke hemiplegia based on "qi circle in round"
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 11, Pages: 1611-1615(2023)
- 作者机构：
  
  1.北京中医药大学东直门医院　北京　100700
  2.中国人民大学
- 作者简介：
  
  Prof. ZOU Yihuai, Ph.D., Chief Physician, Doctoral Supervisor. Dongzhimen Hospital, Beijing University of Chinese Medicine, No. 5, Haiyuncang Street, Dongcheng District, Beijing 100700. E-mail: zouyihuai2004@163.com
- 基金信息：
  
  National Natural Science Foundation of China(82174331;81873257)
- DOI：10.3969/j.issn.1006-2157.2023.11.018
  CLC： R246.1
- Received：03 April 2023，
  
  Online First：12 September 2023，
  
  Published：30 November 2023
- 稿件说明：
移动端阅览
CHEN Tianzhu, ZOU Yihuai, ZHANG Yong, et al. The efficacy mechanism of acupuncture and moxibustion in post-stroke hemiplegia based on "qi circle in round"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(11): 1611-1615.
DOI：

CHEN Tianzhu, ZOU Yihuai, ZHANG Yong, et al. The efficacy mechanism of acupuncture and moxibustion in post-stroke hemiplegia based on "qi circle in round"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(11): 1611-1615. DOI： 10.3969/j.issn.1006-2157.2023.11.018.

摘要

“一气周流”学说以《黄帝内经》天人合一的阴阳气化理论和五脏气机升降理论为基础，在脏腑层面呈现中土为轴、四象为轮的动态气机周流模式，在经络层面呈现阳明为枢、阳气主导的气血周流模式，对人体气血和畅、阴平阳秘、形神相守具有重要意义。基于“一气周流”学说，中风后偏瘫是由于土湿痰盛、营卫不足，肝肺失运、气虚血瘀，心肾失交、脑络受损，引起“阴升阳降”与“左血右气”的周流逆乱，进而痹阻经脉与脑络，发为形神合病之证。在临床针灸辨治中，针对实质性的“形伤”与功能性的“神伤”，应当调理阳明气机以健全形质、调和阴阳以恢复神质、调整四轮以和畅气血，从而恢复气机周流、实现形神同调，为提高中风后偏瘫的针灸疗效提供新思路。

Abstract

Based on the qi transformation of yin and yang and ascending or descending among five zang organs in

Huangdi Neijing

the theory of "qi circle in round" is the dynamic circulation of qi movement taking the central earth as the axis surrounded by the four elements in the visceral aspect

while the qi-blood movement with Yangming pivoting and yangqi leading in the meridian aspect

highlighting the importance of the circulation of qi and blood

yin being calm and yang being sound

and the balance of body and spirit. According to the theory of "qi circle in round"

the pathogenesis of post-stroke hemiplegia is circulation disorder due to "yin-ascending and yang-descending" and "left-blood and right-qi" resulting in obstructed meridians and brain collateral

mainly due to the dampness of the spleen with phlegm leading to a lack of nutrient qi and defense qi

liver and lung failure to transport and transform

causing qi deficiency and blood stasis

and the non-interaction between the heart and the kidney accompanied with brain collateral damage. Considering its substantial "physical injury" and functional "mental injury"

the acupuncture and moxibustion therapy based on syndrome differentiation should focus on regulating Yangming qi movement to improve the shape

balancing yin and yang to recover spirit

and integrating the four elements to smooth qi and blood

so as to restore qi circulation and the unity of body and spirit. This paper provides new ideas for improving the efficacy of acupuncture and moxibustion for post-stroke hemiplegia.

关键词

Keywords

references

GBD 2017 Causes of Death Collaborators . Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017 [J]. Lancet , 2018 , 392 ( 10159 )： 1736 - 1788 .

CAMPBELL BCV , KHATRI P . Stroke [J]. Lancet , 2020 , 396 ( 10244 )： 129 - 142 .

《中国脑卒中防治报告2020》编写组．《中国脑卒中防治报告2020》概要 [J]. 中国脑血管病杂志， 2022 ， 19 ( 2 )： 136 - 144 .

NIH Consensus Conference . Acupuncture [J]. JAMA , 1998 , 280 ( 17 )： 1518 - 1524 .

国家中医药管理局办公室．国家中医药管理局办公室关于印发中风病(脑梗死)等92个病种中医临床路径和中医诊疗方案(2017年版)的通知 [EB/OL]. ( 2017-03-22 ) [ 2023-03-03 ]. http://www.natcm.gov.cn/yizhengsi/gongzuodongtai/2018-03-24/2651.html .

中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组．中国急性缺血性脑卒中诊治指南2018 [J]. 中华神经科杂志， 2018 ， 51 ( 9 )： 666 - 682 .

YANG A , WU HM , TANG JL , et al . Acupuncture for stroke rehabilitation [J/OL]. Cochrane Database Syst Rev , 2016 , 2016 ( 8 )： CD004131 [ 2023-03-03 ]. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004131.pub3/full .

FANG JQ , CHEN LF , MA RJ , et al . Comprehensive rehabilitation with integrative medicine for subacute stroke: A multicenter randomized controlled trial [J/OL]. Sci Rep , 2016 , 6 : 25850 [ 2023-03-03 ]. https://www.nature.com/articles/srep25850 .

黄元御．四圣心源 [M]. 孙卡熙，校注．北京：中国中医药出版社， 2014 .

陈圣华，甘密密，陈烨文，等．黄元御重视中气学术思想的理论基础探析 [J]. 中华中医药杂志， 2015 ， 30 ( 6 )： 1919 - 1921 .

林明欣，朱章志，吕英，等．再探中医学“圆运动”规律 [J]. 中华中医药杂志， 2013 ， 28 ( 5 )： 1516 - 1519 .

彭子益．圆运动的古中医学 [M]. 李可，主校．北京：中国中医药出版社， 2007 ： 2 - 12 .

孙广仁，高博．《内经》的河图五行模式及几个相关问题的解析 [J]. 中华中医药学刊， 2009 ， 27 ( 11 )： 2259 - 2261 .

常兴，张恬，隋雨言，等．脏腑气机升降理论的渊源探析 [J]. 时珍国医国药， 2018 ， 29 ( 6 )： 1397 - 1399 .

毛文艳，杜武勋．黄元御一气周流理论探析 [J]. 江苏中医药， 2016 ， 48 ( 3 )： 6 - 8 .

刘书坤，李志刚，林磊，等．黄元御“一气周流”理论的针灸临床探索 [J]. 中华中医药杂志， 2017 ， 32 ( 9 )： 4061 - 4063 .

杨必安，王兆，黄作阵．黄元御“土枢四象，一气周流”理论的针灸应用探索 [J]. 世界中医药， 2016 ， 11 ( 5 )： 861 - 864 .

王永炎，张伯礼．中医脑病学 [M]. 北京：人民卫生出版社， 2007 ： 137 .

李澎涛，王永炎，黄启福． “毒损脑络”病机假说的形成及其理论与实践意义 [J]. 北京中医药大学学报， 2001 ， 24 ( 1 )： 1 - 6 .

常富业，张允岭，王永炎．毒的临床表征与中风病毒损脑络探析 [J]. 江苏中医药， 2009 ， 41 ( 10 )： 13 - 14 .

王雅惠，王丽平，陆梦馨，等．基于“形神同调”理论浅析手足十二针在中风病治疗中的临床应用 [J]. 中医杂志， 2022 ， 63 ( 4 )： 327 - 331 .

王永炎．中医药治疗急性缺血性脑血管病120例疗效观察 [J]. 中医杂志， 1981 ， 22 ( 4 )： 31 - 33 .

王宏志．谈中风偏瘫的辨治规律 [J]. 新中医， 1989 ( 2 )： 14 - 15 .

张杰，金军，陈尚杰，等．治痿独取阳明新解 [J]. 天津中医药， 2009 ， 26 ( 6 )： 468 - 469 .

侯海鲲．从阴阳气血脏腑经络辨证浅析手足十二针的组方特点 [J]. 中国中医药信息杂志， 2013 ， 20 ( 12 )： 85 - 86 .

杨明辉，程伟，付梅，等． “治痿独取阳明”针刺法应用于中风偏瘫的疗效观察 [J]. 时珍国医国药， 2020 ， 31 ( 8 )： 1923 - 1924 .

DI PINO G , PELLEGRINO G , ASSENZA G , et al . Modulation of brain plasticity in stroke: a novel model for neurorehabilitation [J]. Nat Rev Neurol , 2014 , 10 ( 10 )： 597 - 608 .

GOLESTANI AM , TYMCHUK S , DEMCHUK A , et al . Longitudinal evaluation of resting-state FMRI after acute stroke with hemiparesis [J]. Neurorehabil Neural Repair , 2013 , 27 ( 2 )： 153 - 163 .

HAYWARD K , FERRIS JK , LOHSE KR , et al . Observational study of neuroimaging biomarkers of severe upper limb impairment after stroke [J]. Neurology , 2022 , 99 ( 4 )： 402 - 413 .

TSCHERPEL C , HENSEL L , LEMBERG K , et al . The differential roles of contralesional frontoparietal areas in cortical reorganization after stroke [J]. Brain Stimul , 2020 , 13 ( 3 )： 614 - 624 .

PENG XL , LIU Q , HUBBARD CS , et al . Robust dynamic brain coactivation states estimated in individuals [J/OL]. Sci Adv , 2023 , 9 ( 3 )： eabq8566 [ 2023-03-03 ]. https://www.science.org/doi/10.1126/sciadv.abq8566 .

汪林英，徐春生，朱一芳，等．针刺左、右侧合谷穴脑功能偏侧性的fMRI研究 [J]. 中国针灸， 2015 ， 35 ( 8 )： 806 - 811 .

江澜．基于大脑双侧性联接的中风偏瘫针刺调控效应机制的研究 [D]. 北京：北京中医药大学， 2020 .

陈天竹，邹忆怀，杜钟名，等．手足十二针对缺血性脑卒中偏瘫患者大脑初级运动区与小脑功能连接的影响 [J]. 中医杂志， 2021 ， 62 ( 17 )： 1514 - 1521 .

朱蔓佳．中风偏瘫左属血右属气病机理论研究 [D]. 成都：成都中医药大学， 2011 .

蔡攀．运用左右分治针刺法治疗脑梗死后偏瘫的临床研究 [D]. 成都：成都中医药大学， 2011 .

Views

501

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

The theoretical research on Yi He rehabilitation in staging treatment of post-stroke hemiplegia

Exploring the acupuncture and moxibustion diagnosis and treatment approach of bipolar disorder from the perspective of " wood element characterized by spreading harmony"

Theory of TCM pathogenesis from the perspective of metaphysics: Taking "General Treatise on Causes and Manifestations of All Diseases·Wind Diseases" as an example

Construction and transformation of a contemporary acupuncture and moxibustion education paradigm

Discussion on the "three formulas for stroke" in Synopsis of the Golden Chamber

Related Author

JIN He

WU Kang

ZHANG Yong

CHEN Tianyan

CHEN Tianzhu

FU Wenbin

YANG Yueyue

HU Weisheng

Related Institution

广东省中医院Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China

福建中医药大学附属第二人民医院The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350102, China

广州中医药大学广州 510006Guangzhou University of Chinese Medicine, Guangzhou 510006, China

China Academy of Chinese Medicine Science

School of Traditional Chinese Medicine, Beijing University of Chinese Medicine

AI问答

Postal code：100029
Tel：(010)53911857 Email：jbutcm@bucm.edu.cn
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010802024621
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰